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Chapter 25
The Urinary System
| Question | Answer |
|---|---|
| what are some of the functions of the kidney? | filters fluid from our blood, regulates water volume & osmolality, produice renin, helps with acid/base balance |
| when people take blood pressure pills...why do they urinate a lot? | they're getting rid of blood volume in hopes to lower BP |
| renal fascia | outer layer of dense fibrous connective tissue - anchors kidney & adrenal glands |
| perirenal fat capsule | fatty mass that surrounds kidneys - cushions it against blows |
| fibrous capsule | prevents infections in surrounding regions of kidney |
| temporary storage for urine | bladder |
| paired tubes that transfers urine from kidney --> bladder | ureter |
| tube that carries urine out the body | urethra |
| why does the bladder have rugae folds? | so it can stretch to hold urine |
| the last area before urine leaves to go to the ureter is known as the... | renal pelvis |
| the renal medulla contains most of the collecting tubules where we... | collect urine & start to bring urine to center of kidney |
| the renal artery/vein enters the kidney & the ureter leaves the kidney via this structure... | renal hilum |
| urine is carried down from the pyramid and exits through the.... | renal papillae |
| the renal column | acts as areas for blood vessels to travel through |
| the calyces... | drain each renal pyramid |
| this calyx comes in contact with the renal pelvis | major calyx |
| this calyx comes in contact with the renal papilla | minor calyx |
| what structures are in the medulla of the nephron? | collecting duct & nephron loop |
| where does filtration take place? | the renal corpuscle |
| the cortex of the kidney consists of.... | nephrons, renal corpuscle & renal tubules |
| the glomerulus receives blood from the... | afferent arteriole |
| microscopic filtering units - where the actual work is done is known as... | nephrons |
| the ___ begins urine production, finalize urine by reabsorption and excrete excess ions | nephron |
| the ___ is where things are filtered out and contains many tiny pores & allows movement of filtrate | bowmans capsuile |
| only about 20% passes bowman's capsule..the rest goes to... | efferent arteriole |
| the renal tubule consists of... | nrphron loop, PCT, DCT |
| most absorption is done in the.... | PCT |
| PTH promotes reabsorption of calcium ions in the.... | DCT |
| what is the job of the collecting duct? | it collects & concentrate urine, adjusts urine osmolarilty |
| the renal corpuscle is simply the __ and __ | glomerulus and bowman's capsule |
| what happens in glomerular filtration? | glucose, amino acids & ions are filtered.. exits through vasa recta |
| the presence of glucose or proteins in the urine usually indicates.... | a problem with the filtration membrane |
| tubular reabsorption takes place in the.... | collecting ducts & renal tubules |
| anything that's not reabsorbed becomes... | urine |
| the process of reclaiming everything filtered such as amino acids, glucose, ions is known as ___ | tubular reabsorption |
| tubular rebasorption returns.... | needed substances back to the blood |
| mains site of tubular secretion | PCT |
| tubular secretion functions in... | acid/base balance, disposing of undesirable substances & ridding body of excess K+ |
| filtrate is.... | everything found in the body but proteins & RBC's |
| outward pressures __ glomerular filtration | promote |
| inward pressures ___ glomerular filtration | inhibit |
| chief pressure pushing solutes & water out of blood across membrane | glomerular hydrostatic pressure (55mmHg) |
| the glomerular hydrostatic pressure is essentially.. | blood pressure |
| the inward pressure pushing into the capsule is known as ... | hydrostatic pressure in glomerular capsule (15mmHg) |
| the inward pressure applied by proteins in the blood is called... | osmotic pressure in glomerular capillaries (30 mmHg) |
| the NFP determines the ___ | glomerular filtration rate |
| net filtration pressure = | (outward pressures-inward pressure) (55mHg) -(15+30mmHg) |
| the volume of filtrate formed each minute by the combined activity of all the glomeruli in the kidneys | glomerular filtration rate |
| selective movement of substances from blood to filtrate is known as... | tubular secretion |
| if GFR increases...what happens to urine output and blood pressure/volume? | this increases urine output - BP/volume decreases |
| GFR can be controlled by changing one variable, known as... | glomerular hydrostatic pressure |
| the myogenic mechanism is... | a response to decrease GFR |
| if the glomerular hydrostatic pressure rises...what happens to the net filtration pressure and GFR? | they both rise |
| what happens if the glomerular hydrostatic pressure drops too low? | GFR can drop to 0! |
| in the myogenic mechanism, what activates the sensory stretch receptors? | increase in blood pressure |
| what is the purpose of the JGC complex? | it helps regulate rate of filtration & increases blood pressure |
| the granular cells a.k.a the juxtaglomerular cells functions in... | secretes renin when pressure is low |
| renin is secreted when... | BP is low |
| the extraglomerular mesangial cells... | pass regulatory signals between macula densa & granular cells |
| most of the reabsorption is done here. | PCT |
| the PCT reabsorbs... | 65% salt & water, glucose and amino acids, urea & uric acid |
| this method of reabsorption is uncontrollable, it takes place in the PCT where water follows solute. | obligatory water reabsorption |
| this method of absorption is adjustable and depends on the ADH levels. | falculatative water absorption |
| ADH determines the number of.... | aquaporins (water channels) |
| ADH is produced in response to... | saltiness of fluid |
| the interaction between the flow of filtrate through the ascending & descending limbs of the nephron loop is known as the | counter-current multiplier |
| when you overhydrate...what happens to ECF osmolarity & ADH? | they both decrease |
| what are cortical nephrons? | short nephron loops, account for 85% of nephrons |
| in cortical nephrons, efferent arterioles supply.... | peritubular capillairies |
| in juxtamedullary nephrons, efferent arterioles supply the... | vasa recta |
| juxtamedullary nephrons are __ nephron groups that... | long. creates the osmotic gradient - helps concentrate urine |
| who's job is it to maintain the gradient? and what is it highly permeable to? | vasa recta - salt and water |
| the ___ uses the gradient to adjust urine osmolarity | collecting duct |
| the descending limb pumps out __ while the ascending limb pumps out ___ | water - salt |
| function of ADH. | inhibits urine production |
| ADH is released by the... | posterior pituitary |
| ___ is when selected substances (creatine, hydrogen and potassium ions) are moved from peritubular capillaries through tubule cells into filtrate | tubular secretion |
| what happens when the pH drops and gets more acidic? | renal tubules secrete more hydrogen ions in filtrate to form bicarbonate |
| what happens when the pH rises and becomes more basic? | renal tubules secrete more chloride ions |
| when ketone bodies are found in the urine, it is usually a sign of... | starvation |
| voiding (micturition) is simply the act of... | emptying the urinary bladder |
| in order for micturition to occur. what must happen? | the detrusor muscle must contract & the sphincters must open. |
| the pontine storage center ___ urine and ___ sympathetic and somatic motor nerve activity... | inhibits - increases |
| the pontine micturition center __ urine while ___ the sympathetic and somatic motor nerve activity | promotes - decreases |
| ___ increases reabsorption of calcium | PTH |
| atrial natririude peptide functions in | conserving sodium by decreasing blood volume/pressure |
| angiotensin II stimulates the release of what 2 hormones? | ADH & aldosterone |
| aldosterone causes increased ___ and ___ | sodium & water absorption |
| aldosterone pulls ___ in while spitting___ out | sodium - potassium |
| aldosterone is released from the ___ | adrenal corttex |
| what effect does aldosterone have on blood volume & pressure? | increases it |
| what hormone causes water to be reabsorbed back into the body and prevents water loss in urine | ADH |
| if you decrease water in the urine...it becomes more ___ | concentrated |
| the amount of ADH determines the number of... | aquaporins (water channels) |
| very low amounts of ADH will cause the urine to be.. | diluted |
| ADH ___ blood volume & pressure | increases |